66 



by a sharp cutting instrument. There are no ulcerations, wounds, 

 or recent cicatrices. None of the superficial glands are palpable, 

 but on being dissected out, the inguinal glands on both sides are 

 found to be much enlarged and congested, but relatively firm and 

 not hemorrhagic. On section, the superficial vessels discharge a 

 moderate amount of dark fluid blood. The serous membranes are 

 shining, very moderately injected, and the serous sacs contain small 

 amounts of clear fluid. The pericardium is smooth and normal. 

 The left ventricle of the heart is well contracted and the right one 

 moderately dilated. The valve openings, the endocardium, etc., are 

 normal. The m3^ocardium is moderately soft, of a reddish-brown 

 color, and not very easily torn. The beginning of the aorta is 

 atheromatous; the coronary vessels are moderately engorged. The 

 lungs are slightly adherent in a few places and collapsed. Their 

 pleural surfaces are smooth and even. The lower lobes are uni- 

 formly congested; the upper ones are very moderately so and 

 pinkish-gray in color. The former, on section, are found to 

 be engorged with dark fluid blood and to contain little air; the 

 latter have a moderate amount of blood and more air. The bronchi 

 are filled with a foamy, slightly blood tinged, viscid mucus. Their 

 mucosa is somewhat congested, as is also the mucous membrane 

 of the trachea and the lar}Tix. The spleen is very much enlarged, 

 measuring 20.5 by 12 by 7 centimeters and weighing 865 grams. 

 It has retained the general shape of the organ and its capsule as 

 a whole is thickened and nowhere transparent, but rather opaque. 

 The surface is in general grayish-blue with some areas which are 

 grayish- white. A larger area of this type is found in the center 

 of the upper surface; it is slightly raised above the surrounding 

 tissues and quite opaque. The vessels entering at the hilum are 

 much enlarged in caliber, particularly the veins, which are rather 

 thin walled. The organ is quite firm in consistency. On section, 

 the pulp does not protrude over the cut surface, but is even, quite 

 firm, and of reddish-brown color. The trabecule are increased 

 in width and stand out prominently. The Malpighian bodies are 

 not distinct. A very moderate amount of juice can be scraped off 

 the cut surface. The kidneys are different in size, the left one 

 being much larger than the right. The weight of the former is 

 165 grams and that of the latter is 120 grams. Both have smooth 

 capsules and their external surfaces are bluish-pink in color. On 

 section, the vessels are found to be much engorged, the glomeruli 



